Individual
KEREN JANE LEFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10330 N SCOTTSDALE RD, PARADISE VALLEY, AZ 85253
(602) 255-7625
Mailing address
10330 N SCOTTSDALE RD, PARADISE VALLEY, AZ 85253-1427
(602) 255-7625
(602) 255-7630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03654
NC
363A00000X
Physician Assistant
5601002486
MI
363AM0700X
Medical Physician Assistant
4448
AZ
363AS0400X
Surgical Physician Assistant
4448
AZ
363AS0400X
Surgical Physician Assistant
5601002486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003815846
—
NC
05
—
2368PA
—
SC
Enumeration date
07/14/2005
Last updated
06/07/2018
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